CANYON HOME III (NPI# 1669527941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669527941 |
Entity Type | Organization |
Organization Name | CANYON HOME III |
Other Organization Name | CANYON HOMES INC |
Practice Address |
10712 Artrude St Shadow Hills CA 91040-1314 |
Practice Telephone | 8183531514 |
Mailing Telephone | 8183531514 |
Enumeration Date | 2007-01-24 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. RICHARD W. DENOGEAN (CEO) |
Authorized Official Telephone | 8183531514 |
Authorized Official Credential | RN CDDN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310500000X | Intermediate Care Facility, Mental Illness | CA | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | LTC60886F | 05 |
Other Name | Type Code |
---|---|
Canyon Homes Inc | Doing Business As Name - Organization |
Street Address |
10712 ARTRUDE ST |
City | SHADOW HILLS |
State | CA |
Zip Code | 91040-1314 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013420983 | Klarinda Barkhordarian Boghosian | Pharmacist | 11000 Scoville Ave, Sunland, CA 91040 | 2017-11-14 |
1356735369 | Medex Pharmacies Corp | Pharmacy | 8441 Foothill Boulvard, Sunland, CA 91040 | 2015-03-27 |
1992196083 | Pulse Health Facility, Inc. | Skilled Nursing Facility | 8410 Grenoble Street, Sunland, CA 91040 | 2015-02-10 |
1750640967 | Pad Diagnostics Inc | General Practice | 10823 Odell Ave, Sunland, CA 91040 | 2012-05-08 |
1932485091 | Freedom Hospice Inc | Home Health | 8138 Foothill Blvd Suite ., 250, Sunland, CA 91040 | 2011-11-02 |
1184946766 | Kristina Ann Drossos | Psychologist | 8664 Leberthon Street, Sunland, CA 91040 | 2010-02-23 |
1013063841 | Canyon Home II | Intermediate Care Facility, Mentally Retarded | 8611 Wentworth, Sunland, CA 91040 | 2007-01-26 |
1750483103 | Homeira Firoozeh & Mahvash Emami Sadr Inc | Dentist | 7902 Foothill Blvd, Sunland, CA 91040 | 2006-09-05 |
1215992615 | Pandian Paul Vibooshanan | Pediatrics | 8316 Food Hills Blvd, Sunland, CA 91040 | 2006-04-19 |
1972823441 | Kim Soheila Pourahmad | Pharmacist | 10465 Sunland Blvd, Rite-aid Pharmacy, Sunland, CA 91040 | 2010-06-08 |
Find all providers in zip 91040 |
Taxonomy Code | 310500000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Intermediate Care Facility, Mental Illness |
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487282273 | Crestwood Behavioral Health, Inc. | Intermediate Care Facility, Mental Illness | 303 S C St, Lompoc, CA 93436-7305 | 2020-03-29 |
1497386569 | M&s Guesthomes, Inc. | Intermediate Care Facility, Mental Illness | 2424 W Glencrest Ave, Anaheim, CA 92801-3224 | 2020-01-28 |
1346711504 | Cedacal, LLC. | Intermediate Care Facility, Mental Illness | 5663 Cedarglen Dr, Azusa, CA 91702-5007 | 2018-12-16 |
1396213302 | Amazing Grace Oasis II | Intermediate Care Facility, Mental Illness | 8708 Bridgeport Ave, Hesperia, CA 92344-5562 | 2018-11-07 |
1972081651 | Oc Care Centers, Inc. | Intermediate Care Facility, Mental Illness | 127 N Queensbury St, Anaheim, CA 92806-3814 | 2018-08-03 |
1659858868 | Athina Kamar | Intermediate Care Facility, Mental Illness | 5826 Jumilla Ave, Woodland Hills, CA 91367-5604 | 2018-07-20 |
1447758024 | Crestwood Behavioral Health Inc | Intermediate Care Facility, Mental Illness | 450 Stanyan St Fl 5, San Francisco, CA 94117-1019 | 2018-01-29 |
1376067439 | Alacar. Inc | Intermediate Care Facility, Mental Illness | 4640 E Kaviland Ave, Fresno, CA 93725-1632 | 2017-07-31 |
1912358904 | American Helath Services | Intermediate Care Facility, Mental Illness | 1524 W 227th St Apt 1, Torrance, CA 90501-4917 | 2016-06-30 |
1639547896 | Arcaida Home Care & Staffing | Intermediate Care Facility, Mental Illness | 1090 E Cypress Ave, Suite B, Redding, CA 96002-1163 | 2015-09-04 |
Find all providers with the same taxonomy |
City | SHADOW HILLS |
Zip Code | 91040 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.